Active NPI
Heather Valentine Mitten, MSN, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Cordova, TN
National Provider Identifier
1891131348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 18105
- Practice address
- 8130 Country Village Dr
Suite 102
Cordova, TN 38016-2087 - Phone
- (901) 308-2915
- Fax
- (901) 566-1951
- NPI assigned
- May 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 18105 | TN | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 138216 | TN |
Addresses
Primary practice location
8130 Country Village Dr
Suite 102
Cordova, TN 38016-2087
Mailing address
58 Timber Creek Dr
Cordova, TN 38018-4233
Phone (901) 566-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138216 | TN | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 18105 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1891131348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 TIMBER CREEK DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184233",
"telephone_number": "901-566-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 COUNTRY VILLAGE DR",
"address_2": "SUITE 102",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380162087",
"telephone_number": "901-308-2915",
"fax_number": "901-566-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTEN",
"first_name": "HEATHER",
"middle_name": "VALENTINE",
"credential": "MSN, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-10",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "18105",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "TN",
"license": "138216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.